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Individual

KENNEDY RUTH LAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6800 BROCKTON AVE, RIVERSIDE, CA 92506-3835
(951) 779-1966
Mailing address
20669 AZALEA TERRACE RD, RIVERSIDE, CA 92508-3505

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
10045
CA

Other

Enumeration date
01/15/2026
Last updated
01/15/2026
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